IndividualActive
Lisa Jordan, R.N.
NPI 1134421415 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Jonesboro, GA
Provider details
- NPI number
- 1134421415
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- License
- RN211483 (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
853 Battlecreek Rd
Jonesboro, GA 30236-1919
Phone: (770) 478-1099
Approximate (ZIP-level) locationGet directions
Mailing address
2733 Cedar Tree Ln
Ellenwood, GA 30294-3983
Registry dates
- Enumerated
- 2010-11-19
- Last updated
- 2010-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.